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Individual

BRENDA VANDERPOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1234 ARCADIA AVE, VISTA, CA 92084-3404
(760) 685-4676
Mailing address
3415 SUNSET DR, FALLBROOK, CA 92028-8221

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
556970
CA

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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